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Well-being and dietary adherence in patients with coeliac disease depending on follow-up

Lexner, Jesper LU ; Hjortswang, Henrik ; Ekesbo, Rickard LU and Sjöberg, Klas LU orcid (2021) In Scandinavian Journal of Gastroenterology 56(4). p.382-390
Abstract

Objective: It is not clear how follow-up of coeliac disease should be optimally organised. In Malmö, Sweden, patients are followed up by general practitioners (GP), but in Linköping by gastroenterologists (GE). The aim of this study was to investigate if there were any differences in well-being and dietary adherence depending on type of follow-up. Methods: All adult patients with newly diagnosed biopsy-verified coeliac disease in the cities between 2010 and 2014 were offered to participate. Data was retrieved comprising demography, laboratory analyses, questionnaires (Gastrointestinal Symptoms Rating Scale, Short Health Scale, Multidimensional Fatigue Inventory, Psychological General Well-being Index and Short Form 36) and follow-up.... (More)

Objective: It is not clear how follow-up of coeliac disease should be optimally organised. In Malmö, Sweden, patients are followed up by general practitioners (GP), but in Linköping by gastroenterologists (GE). The aim of this study was to investigate if there were any differences in well-being and dietary adherence depending on type of follow-up. Methods: All adult patients with newly diagnosed biopsy-verified coeliac disease in the cities between 2010 and 2014 were offered to participate. Data was retrieved comprising demography, laboratory analyses, questionnaires (Gastrointestinal Symptoms Rating Scale, Short Health Scale, Multidimensional Fatigue Inventory, Psychological General Well-being Index and Short Form 36) and follow-up. Results: In the GP cohort 39/73 patients and in the GE cohort 58/121 agreed to participate (mean age 43 and 44 years, 69 and 60% women, respectively). A follow-up to a dietician was carried out in 31% and 93% of patients, respectively (p <.001). In the GP group 28% had eaten gluten-containing food during the last 4 weeks compared to 9% in the GE group (p =.01). Despite this, no differences could be seen in vitamin or mineral levels. The questionnaires did not indicate any major discrepancies in subjective health. Conclusion: Irrespective of the design of the follow-up physical and mental well-being were comparable. Dietary adherence was not quite as good in the GP group but follow-up in a primary care setting can still be a suitable and equivalent alternative. However, it is crucial that the dietary counselling is structured in a way that ensures dietary adherence.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Coeliac disease, diet, follow-up, quality of life, well-being
in
Scandinavian Journal of Gastroenterology
volume
56
issue
4
pages
382 - 390
publisher
Taylor & Francis
external identifiers
  • scopus:85101712761
  • pmid:33621157
ISSN
0036-5521
DOI
10.1080/00365521.2021.1889024
language
English
LU publication?
yes
id
ea73caca-5763-4cde-bcaf-5bfe8b962afc
date added to LUP
2021-03-16 07:23:59
date last changed
2024-05-30 07:42:07
@article{ea73caca-5763-4cde-bcaf-5bfe8b962afc,
  abstract     = {{<p>Objective: It is not clear how follow-up of coeliac disease should be optimally organised. In Malmö, Sweden, patients are followed up by general practitioners (GP), but in Linköping by gastroenterologists (GE). The aim of this study was to investigate if there were any differences in well-being and dietary adherence depending on type of follow-up. Methods: All adult patients with newly diagnosed biopsy-verified coeliac disease in the cities between 2010 and 2014 were offered to participate. Data was retrieved comprising demography, laboratory analyses, questionnaires (Gastrointestinal Symptoms Rating Scale, Short Health Scale, Multidimensional Fatigue Inventory, Psychological General Well-being Index and Short Form 36) and follow-up. Results: In the GP cohort 39/73 patients and in the GE cohort 58/121 agreed to participate (mean age 43 and 44 years, 69 and 60% women, respectively). A follow-up to a dietician was carried out in 31% and 93% of patients, respectively (p &lt;.001). In the GP group 28% had eaten gluten-containing food during the last 4 weeks compared to 9% in the GE group (p =.01). Despite this, no differences could be seen in vitamin or mineral levels. The questionnaires did not indicate any major discrepancies in subjective health. Conclusion: Irrespective of the design of the follow-up physical and mental well-being were comparable. Dietary adherence was not quite as good in the GP group but follow-up in a primary care setting can still be a suitable and equivalent alternative. However, it is crucial that the dietary counselling is structured in a way that ensures dietary adherence.</p>}},
  author       = {{Lexner, Jesper and Hjortswang, Henrik and Ekesbo, Rickard and Sjöberg, Klas}},
  issn         = {{0036-5521}},
  keywords     = {{Coeliac disease; diet; follow-up; quality of life; well-being}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{4}},
  pages        = {{382--390}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Gastroenterology}},
  title        = {{Well-being and dietary adherence in patients with coeliac disease depending on follow-up}},
  url          = {{http://dx.doi.org/10.1080/00365521.2021.1889024}},
  doi          = {{10.1080/00365521.2021.1889024}},
  volume       = {{56}},
  year         = {{2021}},
}